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Notes designed as an aid to professional education. A very unusual case of hyperosmolar coma

✍ Scribed by Lewis, MJ ;Ferguson, SC ;Campbell, IW ;Nawroz, IM

Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
393 KB
Volume
13
Category
Article
ISSN
1357-8170

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Hyperglycaemic coma without ketoacidosis in the diabetic patient was presumptively first recorded by Dreschfield in 1886^1^ but it was not until 1957 that the concept of hyperosmolar non‐ketotic coma as a distinct clinical syndrome was appreciated^2,3^. Hyperosmolar non‐ketotic coma (HONK) occurs typically in the elderly diabetic subject. Up to 60% of diabetic patients with HONK have previously undiagnosed diabetes mellitus. In these elderly patients, there are often multiple precipitating factors with infection being the most common^4^. We present the case of a female with HONK and an unusual infection, the combination of which led to her sudden and unexpected death.

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